Understanding Clinical and Financial Features of Medical Practice eMRs & Hospital IT Systems


[A Three Part CD Primer for the Practicing Physician, CXO or Nurse-Executive]

Are You in Medical Practice or Healthcare Administration? – Buy this CD-ROM!

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PART I: Understanding Hospital Information Systems

For the last 30 years, hospital information systems (HISs) have steadily grown in popularity. At present, nearly every acute care hospital in the United States has at least some form of HIS – at a minimum – performing administrative tasks such as patient billing, payor accounting, and employee payroll tracking. Depending on the size of the hospital, an information system may initially cost from several hundred thousand dollars to tens of millions of dollars. In 2005, about $25.8 billion was spent on hospital information technology (IT) in the United States.

By 2010-11 and beyond, it has become critical that such a system produce a positive return on investment (ROI) through patient care quality improvements, increases in organizational efficiency, or enhanced negotiating power with third-party payors and other stakeholders. Some HIS projects, especially more complex undertakings, have been clear failures to the extent that the organization had to abandon the new HIS in favor of the previous manual system. The goal of Part I is to illustrate how hospitals can maximize the chances for successful implementations of HIS while at the same time providing a positive ROI.

PART II: eMRs for the Independent Medical Practice

Many large organizations have a Chief Information Officer (CIO), a Chief Technology Officer (CTO), perhaps a Chief Medical Information Officer (CMIO), or Chief Medical Officer (CMO) that is tasked to do things like figure out the information technology (IT) and computer systems that support clinical and business goals within a healthcare organization. Smaller groups and practices don’t have enough resources to have dedicated staff for such a purpose so the selection, launch and implementation of eMRs will fall onto the physician staff or other senior leadership at a practice … Are you ready?

PART III: Health Information Technology Risks

Your clinical and business data and how it is used is vital to your medical organization.  Information technology (IT) and its infrastructure must therefore be protected through careful security policies.  These policies are guided in part by the risk inherent in your health organization’s IT infrastructure, its competitive strategy, and its asset and risk management policies.  It is important, however, not to over focus on security implementation so that you overlook the clinical operation management and patient-centered care in your healthcare facility.

There are two parts to the security equation: the first involves meticulous inventory of hardware, accessories, and software and the other involves establishing secure IT policies and procedures.  Management systems like those developed by the International Standards Organization (ISO) and the National Institute of Standards and Technology (NIST) serve as very functional models that can be applied in the clinical setting.

Part III of this CD-ROM  reviews the model codes that offer templates on how to put protections in place and the regulations that have been designed to ensure information security.  It also discusses the business continuity and risk management systems you need to keep your organization functioning in case of security and/or privacy breaches. It also offers interpretation and recommendations in making choices as they relate to the IT systems and discusses good healthcare security and privacy practices.  For example, the use of role-based access in an electronic health record (EHR) is not mandatory, but that does not mean that it cannot be implemented. In fact, it is usually desirable.  Many organizations will used a modified role-based system to limit the amount of protected health information (PHI) that one needs to access.

Special Added Bonus

We also include the following valuable resources for your office staff:

1. Glossary of managed care terms

2. Glossary of health information technology

3. Glossary of medical management abbreviations and practice business acronyms. 

Table of Contents: CD-TOC

Now, be among the first-adopters to use this CD for the vital HIT, eMR and IT administration aspects of your medical office, hospital or clinic. You will be glad you did.


“I am finally beginning to understand HIT and eMRs” [Dr. Sarah Jane Fergson] 

And, the handsome, sturdy package makes the checklist CD an ideal gift for the recent graduate, mid-career doctor or mature medical practitioner.

Product Specifications:

Compatible with any PC or Mac computer; Adobe Acrobat Reader® required.

Price: Only $99 USD, includes SPH and tax.

TO ORDER: Please send your check or money order [for CD-ROM] to: iMBA Inc, Suite #5901 Wilbanks Drive, Norcross, GA 30092-1141 [770.448.0769] or MarcinkoAdvisors@msn.com

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2 Responses

  1. Feds to Build ‘Data Warehouse’ of Health Claims

    The U.S. Office of Personnel Management plans to create a national “health claims data warehouse,” according to an announcement published in the Federal Register. The database will be stocked with personally identifiable healthcare data, including individuals’ names, addresses and Social Security numbers as well as a wealth of healthcare information such as diagnoses and treatments, providers involved and charges. The data will be gathered via daily regular feeds from health insurers that cover current federal employees and retirees, military personnel, postal workers and their families. It also will include data from participants in the national pre-existing-conditions insurance program and the multi-state option plan created under the Patient Protection and Affordable Care Act, according to the announcement.

    The data will be mined to “actively manage all three programs to ensure the best value for enrollees and taxpayers,” according to the statement from the Office of Personnel Management. Data also will be used by law enforcement agencies at the federal, state and local levels. Medical records information from the database also could be routinely disclosed “to researchers and analysts inside and outside the federal government for the purpose of conducting research on healthcare and health insurance trends and topical issues,” according to the announcement.

    Source: Joseph Conn, Health IT Strategist [10/8/10]



  2. The “Real” Cost of eMRs?

    A new survey indicates it will cost physician practices roughly $120,000 per doctor to implement electronic health records – and that the speed in which a practice fully implements its’ EHR and shifts to the new workflow is critical to reducing the overall cost of adoption.


    What do you think about that! There is an old saying in economics: “never buy something you don’t need just for the rebate check” [tax incentive for MU in this case]. It must stand alone on its’ financial merits and produce an adequate ROI. Currently, eMRS do not.

    Good CD by the way!



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